Proposed Rules
The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.
| Proposed Rule | Summary | Fiscal Note(s) | Link to Missouri Register /Supporting Documents |
Small Business Impact Statement |
Division |
|---|---|---|---|---|---|
PROPOSED AMENDMENT 20 CSR 2110-2.010Licensure by Examination—Dentists |
This proposed rule change clarifies when an applicant for licensure who fails a clinical competency exam may need remediation and creates a requirement that applicants undergo a criminal background check to qualify for licensure. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
December 2, 2024 | This proposed amendment does not have an adverse impact on small businesses. | Professional Registration – Dental |
PROPOSED AMENDMENT 20 CSR 2110-2.050Licensure by Examination—Dental Hygienists |
This proposed rule change creates a requirement that applicants undergo a criminal background check to qualify for licensure. | PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed rule will not cost private entities more than five-hundred dollars ($500) in the aggregate. |
December 2, 2024 | This proposed rule does not have an adverse impact on small businesses. | Professional Registration – Dental | PROPOSED AMENDMENT 20 CSR 2110-2.170Fees |
This amendment adds language regarding a fingerprint fee and removes outdated language. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities approximately twenty-six thousand eight hundred fifty dollars ($26,850) annually for the life of the rule. |
December 2, 2024 | This proposed amendment does not have an adverse impact on small businesses. | Professional Registration – Dental |
PROPOSED AMENDMENT 20 CSR 2235-1.060Notification of Change of Address or Name |
This amendment adds change of name requirements. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than $500 in the aggregate. |
October 31, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Psychology |
PROPOSED AMENDMENT 20 CSR 2232-2.030Name and Address Change, License Renewal, and Inactive License |
This amendment adds language regarding required documentation of a change of name. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate. |
October 31, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Interpreters |
PROPOSED AMENDMENT 20 CSR 2145-2.090Name and Address Changes |
This amendment sets a time frame for notification of a name change. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate. |
October 31, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Geologist |
PROPOSED AMENDMENT 20 CSR 2063-2.015Notification of Change of Address or Name |
This amendment adds language regarding name changes. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than $500 in the aggregate. |
October 31, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Behavior Analysts |
PROPOSED AMENDMENT 20 CSR 2270-4.060Minimum Standards for Supervision |
This amendment adds veterinary technicians and certified veterinary assistants to supervision standard and clarifies services that may be performed by animal chiropractic practitioners. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than $500 in the aggregate. |
October 31, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Veterinary |
PROPOSED AMENDMENT 20 CSR 2040-5.070Fouls |
This amendment updates language on fouls. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
October 15, 2024 | This proposed rule does not have an adverse impact on small businesses. | Professional Registration – Athletics |
PROPOSED AMENDMENT 20 CSR 2235-5.030Ethical Rules of Conduct |
This amendment clarifies the use of acceptable titles. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: TThis proposed amendment will not cost private entities more than $500 in the aggregate. |
September 30, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Psychologists |
PROPOSED AMENDMENT 20 CSR 2063-6.005Ethical Rules of Conduct |
This amendment adds new language on the use of restraints. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than $500 in the aggregate. |
September 30, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Behavior Analysts |
PROPOSED RULE 20 CSR 2115-1.040Fees |
This amendment increases fees and removes outdated language. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities an estimated two thousand nine hundred forty dollars ($2,940) annually and thirteen thousand five hundred forty-five dollars ($13,545) biennially for the life of the rule. |
August 15, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Dietitians |
PROPOSED RULE 20 CSR 2120-3.210Requirements for a Preneed Contract Joint Account |
This rule provides standards for preneed sellers regarding the management of preneed contract funds that are to be placed and held in joint accounts. | PUBLIC COST: This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate. |
August 1, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Embalmers |
PROPOSED RULE 20 CSR 2220-2.715Authorized Pharmacy Technician Duties |
This rule clarifies authorizes duties that may be delegated to a Missouri registered pharmacy technician. | PUBLIC COST: This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate. |
August 1, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Pharmacy |
PROPOSED AMENDMENT 20 CSR 2220-2.013Prescription Delivery Requirements |
The rule is being amended to incorporate medication orders and add patient safety provisions for prescriptions/medication orders shipped via mail or commercial carrier. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed rule will cost private entities approximately nine thousand fifty-one dollar and eighty cents ($9,051.80) during the first year of implementation, as reflected in the attached Private Fiscal Note. |
July 15, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Pharmacy |
EMERGENCY AMENDMENT 20 CSR 2232-1.040Fees |
This emergency amendment increases 2024 Interpreters renewal fees to ensure compliance with section 209.332, RSMo. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities an estimated seventeen thousand fifty dollars ($17,050) annually for the life of the rule. |
July 15, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Interpreters |
PROPOSED AMENDMENT 20 CSR 2232-1.040Fees |
This amendment increases fees and removes unnecessary language. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities an estimated seventeen thousand fifty dollars ($17,050) annually for the life of the rule. |
July 15, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Interpreters |
PROPOSED AMENDMENT 20 CSR 2145-1.040Fees |
This amendment increases renewal, inactive, and reactivation fees and removes unnecessary language. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities approximately twenty-eight thousand one hundred ninety dollars ($28,190) biennially for the life of the rule. |
July 15, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Geologist |
PROPOSED AMENDMENT 20 CSR 2063-1.015Fees |
This amendment increases fees and removes unnecessary language. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities one hundred sixty-eight thousand four hundred fifty dollars ($168,450) biennially for the life of the rule. |
July 15, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Behavior Analysts |
EMERGENCY AMENDMENT 20 CSR 2197-2.010Application for Licensure |
This amendment updates and clarifies clock hours for licensure. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities sixty-five thousand, dollars ($65,000) biennially for the life of the rule. |
July 1, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Massage Therapy |
PROPOSED AMENDMENT 20 CSR 2197-2.010Application for Licensure |
This amendment updates and clarifies clock hours for licensure. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will cost private entities sixty-five thousand, dollars ($65,000) biennially for the life of the rule. |
July 1, 2024 | This proposed rulemaking does not have an adverse impact on small businesses. | Professional Registration – Massage Therapy |
PROPOSED AMENDMENT 20 CSR 400-5.900Suitability in Annuity Transactions |
This proposed amendment implements the National Association of Insurance Commissioners (NAIC) Suitability in Annuity Transactions Model Regulation #275. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
February 15, 2024 | This proposed amendment does not have an adverse impact on small businesses. |
Insurance |
PROPOSED AMENDMENT 20 CSR 400-13.100Health Insurance Rates |
This proposed amendment requires an actuarial value and cost-sharing factor spreadsheet be included in proposed rates and rate filings for health benefit plans. | PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. |
February 15, 2024 | This proposed amendment does not have an adverse impact on small businesses. |
Insurance |